Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.23 / $5,063.00 / $9,488.00	Facility		$1,758.23	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,074.10 / $2,489.36 / $3,386.25	Facility		$2,074.10	$2,489.36	$3,386.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,346.11 / $2,500.00	Facility		$500.00	$1,346.11	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $133.62 / $133.62 / $133.62	Facility	AS	$133.62	$133.62	$133.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,299.96 / $1,997.21 / $2,929.41	Professional		$1,299.96	$1,997.21	$2,929.41
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,515.29 / $3,515.29 / $3,515.29	Professional	22	$3,515.29	$3,515.29	$3,515.29
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $93.74 / $93.74 / $93.74	Professional	80	$93.74	$93.74	$93.74
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $46.87 / $46.87 / $46.87	Professional	AS	$46.87	$46.87	$46.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00